Black Hawk-grundy Mental Health Center

NPI 1316944598 - Clinic/Center - 261QM0801X

NPI Details
NPI 1316944598
Enumeration Date 07/05/2005
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS CHARLES THOMAS
Position EXECUTIVE DIRECTOR
Phone (319) 234-2893
Fax (319) 234-0354
Practice Location
3251 W 9TH ST
WATERLOO IA, 50702-5310, US
Phone (319) 234-2893
Fax (319) 234-0354
Business Location
3251 W 9TH ST
WATERLOO IA, 50702-5310, US
Phone (319) 234-2893
Fax (319) 234-0354
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
Remove 1316944598 NPI Number
 

According to our database, Black Hawk-grundy Mental Health Center NPI is 1316944598, taxonomy code is 261QM0801X Black Hawk-grundy Mental Health Center physically located at 3251 W 9th St, Waterloo IA, 50702-5310. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1316944598 NPI number is provided on an as is basis without warranty of any kind. 1316944598 is maintained by the National Plan & Provider Enumeration System. The contents of Black Hawk-grundy Mental Health Center are for informational purposes only.